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[Acceptability of neonatal screening of the sickle cell disease during the pandemic of COVID-19 in Kisangani, Democratic Republic of the Congo]. / Acceptabilité du dépistage néonatal de la drépanocytose au cours de la pandémie au COVID-19 à Kisangani, en République Démocratique du Congo.
Kasai, Emmanuel Tebandite; Opara, Jean Pierre Alworong A; Agasa, Salomon Batina; Gulbis, Béatrice; Uvoya, Naura Apio; Nguma, Jean Didier Bosenge; Maloba, Philippe Kasongo; Hubert, Philippe; Etienne, Anne-Marie; Djang Eing A, Roland Marini.
  • Kasai ET; Département de Pédiatrie, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, République Démocratique du Congo.
  • Opara JPAA; Département de Pédiatrie, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, République Démocratique du Congo.
  • Agasa SB; Département de Médecine Interne, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, République Démocratique du Congo.
  • Gulbis B; Département de Chimie Clinique, Hôpital Erasme, Université Libre de Bruxelles, Bruxelles, Belgique.
  • Uvoya NA; Département de Pédiatrie, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, République Démocratique du Congo.
  • Nguma JDB; Département de Pédiatrie, Faculté de Médecine, Université de Bunia, Bunia, République Démocratique du Congo.
  • Maloba PK; Département de Gynécologie-Obstétrique, Faculté de Médecine et de Pharmacie, Université de Kisangani, Kisangani, République Démocratique du Congo.
  • Hubert P; Département de Psychologie, Faculté de Psychologie et des Sciences de l´Education, Université de Lubumbashi, Lubumbashi, République Démocratique du Congo.
  • Etienne AM; Laboratoire de Chimie Analytique Pharmaceutique, Center for Interdisciplinary Research on Medicines (CIRM), Faculté de Médecine, Université de Liège, Liège, Belgique.
  • Djang Eing A RM; Unité de Psychologie de la Santé, Faculté de Psychologie, Logopédie et Sciences de l´Education, Université de Liège, Liège, Belgique.
Pan Afr Med J ; 37: 299, 2020.
Article in French | MEDLINE | ID: covidwho-1115558
ABSTRACT

INTRODUCTION:

the implementation of neonatal screening to identify infants with sickle cell disease during the COVID-19 pandemic is a major challenge in the Democratic Republic of the Congo (DRC). The purpose of this study is to determine whether socio-economic factors are associated with acceptability of newborn screening to identify infants with sickle cell disease during the COVID-19 pandemic in Kisangani, DRC.

METHODS:

we conducted an observational study of mothers sensitized to neonatal screening to detect sickle cell disease in their newborns with hemotypeSCTM (HT401RUO-USA). The study was carried out at the maternity wards in Kisangani from March 21st to June 30th 2020. Collected data were parity, educational level, age, socio-economic level, occupation, awareness and the reason for the denial of screening.

RESULTS:

out of 55.5% (273/492) of sensitized mothers, 107 (39.19%) accepted and 166 (60.80%) refused neonatal screening to detect sickle cell disease in their newborn. The reasons for refusal were lack of information (67.5%; 95% CI [59.8-74.5]), lack of money due to confinement (66.3%; 95% CI [58.5-73.4]), blood test to develop a vaccine for protection against COVID-19 (63.2%; 95% CI = [55.4-70.6]). Factors associated with the acceptability of screening were age > 35 years (p = 0.0009; ORa = 3.04; 95% CI = 1.57-5.87) and low socio-economic level (p = 0.0016; ORa = 2.29; 95% CI = 1.37-3.85).

CONCLUSION:

the acceptability of neonatal screening to detect sickle cell disease during COVID-19 is low in Kisangani. The government should identify effective communication channels to promote health care initiatives.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Acceptance of Health Care / Neonatal Screening / COVID-19 / Anemia, Sickle Cell Type of study: Diagnostic study / Observational study / Prognostic study Topics: Vaccines Limits: Adolescent / Adult / Female / Humans / Infant, Newborn / Young adult Country/Region as subject: Africa Language: French Journal: Pan Afr Med J Year: 2020 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Patient Acceptance of Health Care / Neonatal Screening / COVID-19 / Anemia, Sickle Cell Type of study: Diagnostic study / Observational study / Prognostic study Topics: Vaccines Limits: Adolescent / Adult / Female / Humans / Infant, Newborn / Young adult Country/Region as subject: Africa Language: French Journal: Pan Afr Med J Year: 2020 Document Type: Article